Active NPI
Codycares for Kids, Inc.
- Community/Behavioral Health Agency
- Brooklyn, NY
National Provider Identifier
1356758478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2517
- Legal business name
- CODYCARES FOR KIDS, INC.
- Practice address
- 1692 E 45TH St
Brooklyn, NY 11234-3622 - Phone
- (718) 758-1090
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jackie Jackie Cody, ED.D.; MS ED; ADV
- Title
- Chief Executive Director
- Phone
- (718) 758-1090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2517 | NY | Primary |
Addresses
Primary practice location
1692 E 45TH St
Brooklyn, NY 11234-3622
Mailing address
1692 E 45TH St
Brooklyn, NY 11234-3622
Phone (718) 758-1090
Other names 1
- CodyCares
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Brooklyn, NY
- NPI 1790192854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405900800000",
"number": "1356758478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1692 E 45TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343622",
"telephone_number": "718-758-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1692 E 45TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343622",
"telephone_number": "718-758-1090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CODYCARES FOR KIDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A",
"authorized_official_last_name": "CODY",
"authorized_official_first_name": "JACKIE",
"authorized_official_middle_name": "JACKIE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-758-1090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D.; MS ED; ADV"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "2517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CodyCares",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.